Organization · Type 2 NPI

Amedisys Illinois, L.l.c.

Home Health Agency · Chicago, IL

NPI number 1356506547 Active

Practice location

3254 N Lincoln Ave Ste C
Chicago, IL 60657-1109

Call (773) 665-2060 Map

Fax (773) 665-2090

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	1829488 (IL)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1356506547
Entity type: Organization (Type 2)
Issued: Jul 28, 2008
Last updated: Jul 28, 2008
Status: Active
Subpart: Yes of Amedisys Illinois, L.l.c.

Other names

<unavail>
Dyna Care Home Health of Chicago, An Amedisys Company · doing business as

Authorized official

Mr. Larry Graham
President
(225) 292-2031

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356506547

Amedisys Illinois, L.l.c.'s National Provider Identifier is 1356506547, issued on Jul 28, 2008. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 28, 2008.